Coronary Angiography and Non-Surgical Interventions (02:51)
Coronary angiography is standard in diagnosing coronary artery disease including: unstable angina, valvular heart disease, acute myocardial infarction, cardiomyopathy, or heart failure. PCI may include balloon angioplasty or stent placement.
Pre Cath Lab Nursing Care (04:03)
Nurses review the angiogram procedure with the patient and obtain signed consents. Tests include EKG, chest x-ray, CBC, sodium-potassium coagulation studies, and kidney function. Mark pedal pulses, assess for allergies, and clip groin hair. The patient should be NPO and have an empty bladder.
Cath Lab Nursing Care (03:42)
Secure the patient and explain the procedure basics. Attach heart monitoring leads, pulse oximetry, CO2 monitor, and a BP cuff. Patients generally receive anti-coagulants and sedatives. Staff members take a procedural time out to confirm identity, site, and procedure. Learn about the procedure.
PCI or Angioplasty (03:27)
Learn percutaneous coronary intervention advantages and disadvantage and view an animation of the procedure. Rotational atherectomy shaves off calcified plaque, thrombectomy removes old clots, and intravascular ultrasound identifies what type of material is clogging the vessel. Learn about stent placement.
Post Cath Lab Nursing Care (06:50)
Monitor patient groin sites for several hours to overnight. Monitor vital signs, assess for internal bleeding, monitor intake and output, assist with daily activities, facilitate family visits, and ensure arterial line patency. Hear post procedure risks and learn about line removal and discharge scenarios.
Credits: Coronary Angiography and Acute Non-Surgical Interventions (00:17)
Credits: Coronary Angiography and Acute Non-Surgical Interventions
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